Jeremy Burns
Individual provider Active NPI Physical Therapy Assistant · Essex, IA
NPI 1407233281 · NPPES record last updated Apr 30, 2015
Key facts
- NPI
- 1407233281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 077286 (IA)
- Practice address
- 101 Victory St
Essex, IA 51638-3018 - Phone
- (409) 617-1844
- NPI assigned
- Apr 30, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077286 | IA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 077286 | IA | Yes |
Addresses
Primary practice location
101 Victory St
Essex, IA 51638-3018
Mailing address
101 Victory St
Essex, IA 51638-3018
Other providers in Essex, IA
- Austin Lee Barth
- Devin Kaylene Barth
- City of Essex
- Essex Community School District
- Teresa Lynn Isenhower-Moyer
- Ric Rasmussen
- Shenandoah Medical Center
All providers in Essex, IA · Physical Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.